基于光学相干层析成像技术的皮肤组织非消融性光热损伤过程

使用OCT技术观察活体小鼠皮肤组织在非消融性激光作用后光热损伤及其修复过程,得出皮肤组织在此过程中形态卜的变化规律.利用OCT散射模型得出皮肤在激光作用前后光学参数中衰减系数的变化,根据所获得的光学参数的变化量来判断热损伤程度,并分析引起散射参数变化的原因,作为临床上无损的判断光热作用下皮肤内部损伤情况的依据.结果表明OCT是一种很有潜力的活体监测光热损伤及其修复过程的工具.     

基于OCT技术的鼠皮肤激光热损伤修复过程的监测

采用Er:YAG激光(波长为2 940 nm,能量密度为:2.5 J/cm2单光斑,扫描次数为4)照射活体小白鼠皮肤,利用光学相干层析成像(optical coherence tomography,OCT)技术在活体小鼠上观察其皮肤组织在激光作用之前及作用之后光热损伤修复的整个过程,得到了激光光热作用下引起损伤的皮肤组织在此过程中皮肤光学特性参数的变化情况,发现皮肤修复过程中光学参数有显著差异,并分析了这些差异引起的原因,以揭示激光美容中并发症主要因素。     

新型骨缺损斑马鱼模型构建及修复过程的OCT活体评价

动物模型广泛应用于人类疾病的病因、发病机制、防治技术和防治药物的探索研究中,新型人类疾病动物模型的开发将促进相关研究取得进展。本研究探索建立了一种基于斑马鱼的新型骨缺损模型,并利用光学相干层析成像(OCT)技术,对骨缺损模型的构建过程和修复过程进行活体评价。试验随机选取13条体型一致的成年斑马鱼作为研究对象,其中10条鱼用于构建骨缺损模型,剩余3条鱼作为对照。首先,对每一条正常斑马鱼的颅骨进行OCT扫描成像,然后利用自行研制的工具在模型组斑马鱼的视顶盖区域的颅骨上打开一个直径为200μm左右的孔,形成骨缺损。分别在第2、5、9、11、14、21天利用OCT对每一条斑马鱼的颅骨损伤情况进行评估。恢复21 d后的斑马鱼用于病理试验,将颅骨缺损区域的病理结果与OCT结果对照,新生骨清晰可见。试验结果表明,OCT可以高分辨率地活体评估骨缺损恢复的过程,OCT成像结果与病理切片结果高度匹配。综上所述,斑马鱼模型和OCT成像技术结合的策略能为骨缺损疾病的研究提供新的助力。     

石楠和蜡梅茎结冰动力学过程的差热扫描分析

在(0.66±0.2)℃/min(0℃～-20℃)的降温速度下,采用高分辨率差热分析法分别对石楠(Photinia serrulata Lindl.)和蜡梅(Chimonanthus praecox (L.) Link)活体幼茎和经过10 min高温煮沸的幼茎在结冰过程中的热力学行为进行分析,并根据茎的形态解剖结构对他们的结冰特征进行研究。结果显示:石楠和蜡梅的活体幼茎在结冰过程中的差热扫描曲线均出现3个放热峰;而经过高温杀死后的茎仅出现1个单放热峰。分析结果表明,2种植物活体幼茎的3个放热峰可能与其木质部、质外体、韧皮部、形成层的结冰、脱水以及髓组织的结冰、脱水过程有关。进一步采用生理盐水浸湿的滤纸进行模拟实验,结果发现差热扫描曲线出现与高温杀死的茎类似的放热峰。实验结果表明,采用高分辨率差热分析法可以探测植物组织结冰过程中的放热强度、结冰温度及其与结冰动力学过程相关的大量细节,适用于植物的结冰动力学分析。     

光学相干断层成像在临床医学中的应用

光学相干断层成像(OCT)是一种基于弱相干光学断层成像技术,可以对生物组织活体断层成像,是继计算机X射线摄影(CR)和数字X射线摄影(DR)、超声、电子计算机断层扫描(CT)、磁共振成像(MRI)之后又一新的生物组织成像方法。OCT在眼科、皮肤科、心血管科、肿瘤科、骨科、口腔科、妇科等对组织病变的早期光学诊断和实时动态监测方面具有广泛的应用及重要的临床价值。本文就OCT的基本原理、研究现状、主要的临床应用和应用过程中存在的问题进行综述并展望未来相关的发展趋势。     

东亚飞蝗消化道的三维重建方法研究

本文主要研究东亚飞蝗Locutsta migratoria manilansis(Meyen)消化道可视化模型三维重建方法.采用冰冻切片技术将冰冻包埋剂(OCT)包埋后的飞蝗成虫做连续切片,进行截面图像信息采集,建立数据集;通过Photoshop、Image-Pro Plus(IPP)软件对消化道截面图像进行分割、处理...     

石楠和蜡梅茎结冰动力学过程的差热扫描分析

在（0.66 ±0.2）℃/min（0℃~-20℃）的降温速度下,采用高分辨率差热分析法分别对石楠（Photinia serrulata Lindl.）和蜡梅（Chimonanthus praecox（L.）Link）活体幼茎和经过10 min高温煮沸的幼茎在结冰过程中的热力学行为进行分析,并根据茎的形态解剖结构对他们的结冰特征进行研究。结果显示：石楠和蜡梅的活体幼茎在结冰过程中的差热扫描曲线均出现3个放热峰;而经过高温杀死后的茎仅出现1个单放热峰。分析结果表明,2种植物活体幼茎的3个放热峰可能与其木质部、质外体、韧皮部、形成层的结冰、脱水以及髓组织的结冰、脱水过程有关。进一步采用生理盐水浸湿的滤纸进行模拟实验,结果发现差热扫描曲线出现与高温杀死的茎类似的放热峰。实验结果表明,采用高分辨率差热分析法可以探测植物组织结冰过程中的放热强度、结冰温度及其与结冰动力学过程相关的大量细节,适用于植物的结冰动力学分析。     

花背蟾蜍蝌蚪皮肤的结构与发育

为研究花背蟾蜍(Bufo raddei)蝌蚪在变态发育期皮肤的显微结构特点,选取G19、G22、G26、G36、G41、G43和G46共7个发育期蝌蚪的连续石蜡切片及成体的背部皮肤切片,采用H.E和AB-PAS染色方法,观察了皮肤各层结构的发育时序并进行了相应的测量.结果表明,在G19、G22和G26蝌蚪表皮均为1层细胞;G36蝌蚪皮肤细胞形态和层数在背腹部出现了显著的区别;在G41基本完成了表皮2层细胞的构建;G43期完成完整的真皮构建,其中分布有毛细血管和2种皮肤腺.G46皮肤在厚度、腺体和毛细血管分布等方面表现出了明显的区域性差异,并与成体皮肤结构有明显的差别,显示出蝌蚪在发育过程中皮肤结构的变化与其生存环境之间紧密的关联性.     

美白祛斑药物对强脉冲光作用下的鼠皮黑色素的影响

观察美白祛斑药物对强脉冲光(intensive pulse light, IPL)作用下的鼠皮黑色素的影响,探讨IPL作用下,皮肤的黑色素的增生和美白药物之间的作用关系,以期探寻美白药物在减少光子嫩肤术并发症的作用机制.以小白鼠作为研究对象,用IPL在一定的波长及能量密度照射活体小鼠皮肤, 在照射后15 min涂抹低浓度的维A酸霜,分别在照射后的4 h、5 d,用显微镜观察涂霜剂、没涂霜剂的皮肤黑色素及其周边组织的变化情况;在照射后的1 d用多光子显微镜观察涂霜剂、没涂霜剂皮肤组织的变化.讨论了美白祛斑药物在光子嫩肤过程中抑制黑色素生成的过程,为如何减少光子嫩肤术并发症提供参考和借鉴.     

光学相干层析术高分辨率活体成像泼尼松龙诱导的骨质疏松斑马鱼模型

本研究利用光学相干层析术OCT对泼尼松龙诱导的斑马鱼骨质疏松模型进行活体成像,并结合电镜能谱技术定量分析斑马鱼模型骨质的钙磷元素含量及分布情况,共同探讨OCT方法在基于斑马鱼模型开展的骨质疏松研究中的使用价值。选取40条3月龄野生型斑马鱼暴露于50μmol/L泼尼松龙溶液和含0. 5%DMSO的溶液中(对照组),28. 5℃下培养,分别于第5、10、20天取出浸药组和对照组进行OCT活体成像,比较两者光散射特征。在每个时间点的成像之后,将浸药组的5条斑马鱼处死,然后取颅骨进行元素含量电镜扫描能谱分析。本研究利用50μmol/L泼尼松龙溶液培养斑马鱼至第20天,成功构建了斑马鱼骨质疏松模型。与对照组相比,模型组活体OCT成像显示骨组织光散射减弱,光子量明显减少,呈不均匀分布。能谱元素检查结果说明颅骨内所含钙、磷比例明显下降,证实骨质疏松发生,骨量减少。OCT成像方法在对斑马鱼骨质疏松模型进行活体、实时、无创等研究方面具有重要价值,本试验也为骨质疏松疾病的研究和药物筛选等方面提供了新的有效的方法。     

OCT layered tomography of the cornea provides new insights on remodeling after photorefractive keratectomy

OCT (optical coherence tomography) of corneal layers was generated to analyze the remodeling of the epithelium and stroma after photorefractive keratectomy (PRK). Myopic PRK was performed in 15 patients. One eye underwent manual scraping of epithelium while the other was treated with Epi clear. Epi clear allowed a gentler removal of the epithelium compared to manual scraping. Scheimpflug (Pentacam, OCULUS Optikgerate Gmbh, Wetzlar, Germany) and OCT (RTVue, Optovue Inc., Fremont, California, USA) scans of the cornea were performed before and after PRK (3 months). The OCT scanner and Pentacam acquired 8 and 25 radial 2‐D scans of the cornea, respectively. The results showed similar topographic changes on the anterior corneal surface between Scheimpflug and OCT imaging. The curvature of the underlying anterior surface of the stroma after PRK was similar to the anterior corneal surface (air‐epithelium interface), when measured with OCT. Aberrometric changes were mostly similar between Scheimpflug and OCT. However, Scheimpflug imaging reported greater changes in spherical aberration and corneal higher order aberrations than OCT after PRK. This is the first study to quantify the curvatures of the stromal layers with OCT after PRK. New insights were gained, which could be useful for refinement of surgical ablation algorithms, refractive procedures and detection of ectasia.      

Non‐invasive monitoring of subclinical and clinical actinic keratosis of face and scalp under topical treatment with ingenol mebutate gel 150 mcg/g by means of reflectance confocal microscopy and optical coherence tomography: New perspectives and comparison of diagnostic techniques

Actinic keratosis (AK) corresponds to the earliest stage of in situ squamous cell carcinoma and arises on chronically sun‐exposed skin. Around the clinically evident AKs, the apparently healthy epidermis may contain different grades of atypia that can be detected by noninvasive imaging techniques such as reflectance confocal microscopy (RCM) and optical coherence tomography (OCT). Subclinical actinic keratosis (sAK) has captured increasing interest as a potential target of field therapies. The aim of this study was to evaluate in vivo the changes in the field cancerization undergoing treatment with topical ingenol mebutate by combining RCM and OCT. Twenty patients with field cancerization of the face and scalp were treated with ingenol mebutate gel (150 mcg/g) for three consecutive days on an area of 25 cm² containing at least two AKs, two sAKs and two apparently healthy sites. About 120 lesions were evaluated through clinical investigation and clinical, dermoscopical, RCM and OCT images at day 0, 4, 14 and 56 based on the diagnostic criteria for AKs. Main pathological features improved in both AKs and sAKs, in particular the epidermal thickness measured by OCT and the epidermal atypia graded by RCM. Local skin reactions (LSR) arose predominantly in the lesional area compared with healthy skin. A complete clearance was detected in 58% for AKs, and in 55% and 72% for sAKs measured by RCM and OCT, respectively. Both OCT and RCM allow the morphological representation of field cancerization including subclinical lesions and provide complementary information. Ingenol mebutate is effective not only in clinically evident but also in sAKs. The differences in LSR highlight the potential selectivity of the treatment.      

Evaluation of corneal epithelial thickness in glaucomatous patients using anterior‐segment optical coherence tomography

The corneal epithelium represents one of the main structures that undergo degenerative alterations due to antiglaucomatous therapy. Chronic glaucoma therapy containing benzalkonium chloride induces epithelial cellular changes and inflammatory infiltration that in turn causes ocular surface changes resulting in ocular discomfort. Also, age‐related changes can involve the tear film stability and the corneal epithelium surface with reduction of microvilli. The objective of this study is to gain insights about the changes in corneal epithelium in glaucomatous patients divided according to age, type and duration of therapy using anterior‐segment optical coherence tomography (AS‐OCT). This study evaluated a total of 81 eyes of 42 patients for whom corneal epithelium thickness (CET) was measured in different sectors of the cornea. Our results showed no significant differences in CET among patients divided according to type and duration of treatment, while younger patients showed a thinner CET in comparison with older patients. AS‐OCT results demonstrated that the physiological age‐related alterations contributed to corneal epithelium changes in patients undergo chronic antiglaucoma therapy.     

Central and Midperipheral Corneal Thickness Measured with Scheimpflug Imaging and Optical Coherence Tomography

Purpose

To compare corneal thickness measurements using Pentacam (Oculus, Germany), Sirius (CSO, Italy), Galilei (Ziemer, Switzerland), and RTVue-100 OCT (Optovue Inc., USA).

Methods

Sixty-six eyes of 66 healthy volunteers were enrolled. Three consecutive measurements were performed with each device. The mean value of the three measurements was used for subsequent analysis. Central corneal thickness (CCT), thinnest corneal thickness (TCT), and midperipheral corneal thickness (MPCT; measured at superior, inferior, nasal, and temporal locations with a distance of 1 mm (CT_2mm) or 2.5 mm (CT_5mm) from the corneal apex) were analyzed. Differences and agreement between measurements were assessed using the repeated-measures analysis of variance (ANOVA) and Bland-Altman analyses, respectively.

Results

Statistically significant differences (p<0.001) among the four devices were revealed in CCT, TCT and CT_2mmmeasurements. The CCT, TCT, and CT_2mm values were ranked from the thickest to the thinnest as follows: Galilei>Sirius>Pentacam>RTVue OCT. For these measurements, agreement between measurements by Sirius and Pentacam was good, whereas Galilei overestimated and RTVue underestimated corneal thickness compared to Sirius and Pentacam. As regards CT_5mm measurements, Pentacam provided the largest values, whereas RTVue OCT yielded the smallest values. Agreement of the CT_5mm measurements was good between the Pentacam, Sirius, moderate between Galilei and the other two Scheimpflug systems, and poor between the RTVue OCT and the remaining devices.

Conclusions

The Pentacam and Sirius can be used interchangeably for CCT measurements, while the Galilei and RTVue systematically over- and underestimate CCT, respectively. The three Scheimpflug cameras, but not the RTVue, may be used interchangeably for MPCT measurements.     

The Effect of Axial Length on the Thickness of Intraretinal Layers of the Macula

Purpose

The aim of this study was to evaluate the effect of axial length (AL) on the thickness of intraretinal layers in the macula using optical coherence tomography (OCT) image analysis.

Methods

Fifty three randomly selected eyes of 53 healthy subjects were recruited for this study. The median age of the participants was 29 years (range: 6 to 67 years). AL was measured for each eye using a Lenstar LS 900 device. OCT imaging of the macula was also performed by Stratus OCT. OCTRIMA software was used to process the raw OCT scans and to determine the weighted mean thickness of 6 intraretinal layers and the total retina. Partial correlation test was performed to assess the correlation between the AL and the thickness values.

Results

Total retinal thickness showed moderate negative correlation with AL (r = -0.378, p = 0.0007), while no correlation was observed between the thickness of the retinal nerve fiber layer (RNFL), ganglion cell layer (GCC), retinal pigment epithelium (RPE) and AL. Moderate negative correlation was observed also between the thickness of the ganglion cell layer and inner plexiform layer complex (GCL+IPL), inner nuclear layer (INL), outer plexiform layer (OPL), outer nuclear layer (ONL) and AL which were more pronounced in the peripheral ring (r = -0.402, p = 0.004; r = -0.429, p = 0.002; r = -0.360, p = 0.01; r = -0.448, p = 0.001).

Conclusions

Our results have shown that the thickness of the nuclear layers and the total retina is correlated with AL. The reason underlying this could be the lateral stretching capability of these layers; however, further research is warranted to prove this theory. Our results suggest that the effect of AL on retinal layers should be taken into account in future studies.     

Analysis of shear wave propagation in skin; application to an experimental procedure

An analysis of an experimental procedure used to determine age-related changes in the skin was performed. The experiment is based on the propagation of a shear wave through the skin. The analysis of the experiment was used to determine the effects of parameters such as properties of the skin and subcutaneous fat, skin thickness and experimental conditions on the propagation. Computer simulations showed that at lower frequencies (less than 1000 Hz), measured results depended strongly on skin thickness, while at higher frequencies (2000 Hz) the results were relatively insensitive to both skin thickness and the properties of the subcutaneous fat. Results also depended upon the distance between the applied shear disturbance and the measurement point. The analysis suggests that higher frequency (2000 Hz) experimental results are more indicative of mechanical properties of skin than lower frequency (less than 1000 Hz) results.     

猫外层视网膜和脉络膜的年龄相关变化

取老年猫(12龄,2.5~3 kg)和青年猫(1~3龄,2~2.5 kg)各4只的视网膜,经4%多聚甲醛处理后用H.E染色以显示视网膜和脉络膜的结构。光学显微镜下观察感光细胞层、玻璃膜(Bruch’s membrane)结构的变化,计数色素上皮层(retinal pigment epithelium,RPE)细胞数、脉络膜毛细血管数,测量玻璃膜、脉络膜厚度,脉络膜毛细血管之间的距离。结果显示,与青年猫比较,老年猫视网膜感光细胞层结构杂乱;色素上皮细胞数显著下降;玻璃膜厚度无显著变化,出现较多碎片;脉络膜厚度明显变薄,脉络膜毛细血管数显著减小,脉络膜毛细血管之间的距离显著增大。推测老年猫脉络膜的退化可能是导致玻璃膜、色素上皮层的退化,进而导致感光细胞的功能衰退的重要原因。     

Corneal tomographic features of postrefractive surgery ectasia

The purpose of this study was to evaluate the tomographic features of postrefractive surgery eyes. This was a retrospective evaluation of clinical data. Three patients with post‐LASIK (laser‐assisted in situ keratomileusis) and two patients with post‐SMILE (small incision lenticule extraction) ectasia were imaged with Scheimpflug imaging (SI, Pentacam) and optical coherence tomography (OCT, RTVue). Curvature and wavefront aberrations of the air‐epithelium interface (A‐E) and epithelium‐Bowman's layer interface (E‐B) were derived. OCT of normal and keratoconic eyes from an earlier study were compared with the data of the ectasia eyes. Curvature and aberrometry of the A‐E interfaces were statistically similar between SI and OCT. However, OCT revealed a steeper and more aberrated E‐B interface than A‐E though correlation between them was inferior to the correlation for keratoconic eyes. Furthermore, the magnitude of differences between the A‐E and E‐B interfaces was greater in the ectasia eyes than the keratoconic eyes. OCT could possibly assist better in selecting appropriate treatment plan for postrefractive surgery ectasia eyes than conventional tomographers.      

Translational optical coherence elastography for assessment of systemic sclerosis

Systemic sclerosis (SSc‐scleroderma) is an autoimmune disorder with high mortality rate that results in excessive accumulation of collagen in the skin and internal organs. Currently, the modified Rodnan Skin Score (mRSS) is the gold standard for evaluating the dermal thickening due to SSc. However, mRSS has noticeable inter‐ and intra‐observer variabilities as quantified by the interclass correlation coefficient (ICC: 0.6‐0.75). In this work, optical coherence elastography (OCE) combined with structural optical coherence tomography (OCT) image analysis was used to assess skin thickness in 12 SSc patients and healthy volunteers. Inter‐ (ICC: 0.62‐0.99) and intra‐observer (ICC > 0.90) assessment of OCT/OCE showed excellent reliability. Clinical assessments, including histologically assessed dermal thickness (DT), mRSS, and site‐specific mRSS (SMRSS) were also performed for further validation. The OCE and OCT results from the forearm demonstrated the highest correlation (OCE: 0.78, OCT: 0.65) with SMRSS. Importantly, OCE and OCT had stronger correlations with the histological DT (OCT: r = .78 and OCE: r = .74) than SMRSS (r = .57), indicating the OCT/OCE could outperform semi‐quantitative clinical assessments such as SMRSS. Overall, these results demonstrate that OCT/OCE could be useful for rapid, noninvasive and objective assessments of SSc onset and monitoring skin disease progression and treatment response.